Filling the Gap in States That Have Not Expanded Medicaid Eligibility

Brief

Filling the Gap in States That Have Not Expanded Medicaid Eligibility

Abstract

In this paper we examined alternative policies that would expand eligibility for marketplace tax credits to people below 100% of the federal poverty level. We use three different subsidy schedules: the ACA subsidy schedule, enhanced premium subsidies and finally enhanced premium as well as cost sharing subsidies. We show that between 3 and 5 million people would gain coverage. The least generous subsidy option would cost 181 billion over 10 years while the most generous option would cost $335 billion over 10 years. Increasing the federal matching rate for Medicaid expansion enrollees to 100% to preserve equity among states would add $145 billion over 10 years.

External Link:

https://www.commonwealthfund.org/publications/issue-briefs/2021/jun/filling-gap-states-not-expanded-medicaid

Research Area: 

Centers

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